Organization · Type 2 NPI

Executive Group Home

Assisted Living Facility · Miami, FL

NPI number 1356559694 Active

Practice location

10170 SW 146th Ave
Miami, FL 33186-6956

Call (305) 387-4971 Map

Fax (305) 225-1289

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XAL 9277 (FL)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1356559694

Executive Group Home's National Provider Identifier is 1356559694, issued on May 18, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Miami, FL. The record was last updated on Aug 22, 2020.